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24255 Thirteen Mile Road Suite 100 Bingham Farms, Michigan 48025  -  Phone 248-988-8085    



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New Patient Information


Welcome to Performance Orthopedics!

 

We are committed to serving you promptly and professionally. We do however need your help. In order for our office to properly evaluate your problem as well as facilitate the billing process, we ask your cooperation in providing us with accurate information about your health as well as insurance coverage.

 

Our web site and our secure patient portal offer an opportunity to complete much of this information at home where you have access to your personal records. On the day of your appointment we will need to verify that this information is accurate but no more forms!!

 

Click here to create an account in our secure online patient portal, and then complete the registration form presented on the health forms page.  Your completed forms will be downloaded by the office staff in advance of your appointment.

 

** After completing the registration form, you will be able to print a copy for your personal records**

 

Please review our office policies prior to your first visit. 

 

For directions to our office please click on this link.

 

New Patient Checklist for Day of Appointment

*      Please have the online registration form completed. Click here for form  

*      Personal identification (photo ID) such as drivers license

*      Current insurance card

*      Referral or prescription if insurance requires (HAP, HMO, BCN, Mcare, etc.)

*      Parent/guardian if less than 18 years of age

*      For a lower extremity problem (hip/knee/leg/ankle) you may bring shorts or wear clothing that can be easily removed for your examination

*      For an upper extremity problem (neck/shoulder/elbow/forearm) you will want to wear a tank top or t shirt that allows access to your affected area

*      Any current Xrays

*      Any MRI or other imaging studies for area of concern

  

Seeking Second Opinion click here

 

We thank you for your cooperation and understanding.

 

 

Kenneth A. Jurist, M.D., Joseph H. Guettler, M.D.

24255 Thirteen Mile Road, Suite 100

Bingham Farms, MI 48025

248-988-8085 Phone / 248-988-8565 Fax

"At Performance Orthopedics it's all about You at your Peak Performance"

www.performanceorthopedics.com

 


   | Site Last Updated: 7/12/2010 | Copyright ©  Performance Orthopedics 
    24255 Thirteen Mile Road Suite 100 Bingham Farms, Michigan 48025 - Phone 248-988-8085
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